NURSING 784 : Advanced Emergency Nursing Practicum

Medical and Health Sciences

2020 Semester One (1203) (30 POINTS)

Course Prescription

Specialty Emergency nurses provide advanced nursing care and need expertise in assessment, diagnostic processes and therapeutic decision making. Advanced assessment skills along with injury and condition specific management models are taught with a focus on clinical decision making for clients in emergency and accident and medical clinic settings. Designed to refine advanced emergency nursing skills for nurses working in specialty emergency nursing roles.

Course Overview

This course aims to support the development of nurses who are working in an expanded practice* role in an emergency care setting. The course provides theoretical knowledge as well as mentored clinical practice in the assessment, clinical decision making and treatment of common emergency department patient conditions. This course will provide both study day based learning and practical application of knowledge in the clinical setting supporting nurses in development of the skills required for independent clinical management of common problems. Assessments will validate acquisition of clinical and theoretical knowledge.
* the phrase "expanded practice" is used by the Nursing Council to describe registered nurses who practice beyond the established contemporary or ‘traditional’ scope of practice.

The course requirements for students are as follows:  
  • employed as a nurse specialist in an emergency care setting and can complete 100 supervised clinical hours
  • have completed an advanced assessment and clinical reasoning paper equivalent to University of Auckland Nursing 773
  • have the support of their manager to attend the ten study days and the exam day
  • have a clinical supervisor and mentor in your clinical setting.
All days on-site at University of Auckland Grafton Campus.

Course Requirements

Prerequisite: NURSING 773 or equivalent, and practising in an advanced nursing role

Capabilities Developed in this Course

Capability 1: Disciplinary Knowledge and Practice
Capability 2: Critical Thinking
Capability 3: Solution Seeking
Capability 4: Communication and Engagement
Capability 5: Independence and Integrity
Capability 6: Social and Environmental Responsibilities
Graduate Profile: Master of Nursing

Learning Outcomes

By the end of this course, students will be able to:
  1. Articulate your scope of expanded practice within the emergency care setting, with a focus on musculoskeletal and skin trauma in adults and children as well as common paediatric emergency care presentations. (Capability 1.1, 1.2, 2.1, 2.2, 5.1 and 5.2)
  2. Assess patients presenting to the emergency department within that scope, including a history of the presenting complaint, a health history, physical examination, and appropriate requesting of laboratory tests and radiological imaging. (Capability 1.1, 1.2, 2.1, 2.2, 3.1, 4.1, 4.2 and 6.1)
  3. Use and apply assessment data to diagnose common health problems within the scope of practice. (Capability 1.1, 1.2, 2.1, 2.2, 3.1 and 3.2)
  4. Develop and implement appropriate clinical treatment plans, including interventions such as wound repair and management of musculo-skeletal injuries, selection of medications, discharge planning, and referral to specialist services. (Capability 1.1, 1.2, 2.1, 2.2, 3.1, 3.2, 4.1, 4.2, 5.1 and 6.1)
  5. Evaluate the effect of the clinical treatment plan and modify the plan accordingly. (Capability 1.1, 1.2, 2.1, 2.2, 3.1, 3.2, 4.1, 4.2, 5.1, 5.2, 6.1 and 6.2)
  6. Communicate, consult and collaborate with the multidisciplinary team as the needs of the patient/client require. (Capability 3.1, 3.2, 4.1, 4.2, 5.1, 5.2, 6.1 and 6.2)

Assessments

Assessment Type Percentage Classification
multi-choice questions 20% Individual Coursework
Short Answer Questions 40% Individual Coursework
Clinical OSCE Exam 40% Individual Coursework
Assessment Type Learning Outcome Addressed
1 2 3 4 5 6
multi-choice questions
Short Answer Questions
Clinical OSCE Exam
  • Students must achieve a combined grade of 65% in the multiple-choice and short-answer question sections to pass the course. There is no option to re-sit the examination if the combined grade of 65% is not achieved. 
  • Students must achieve a minimum mark of 65% in each station of the clinical examination (OSCE) component of the assessment to pass the course. An opportunity will be provided to repeat a maximum of two failed stations.
In addition, to pass the course, students must submit: 
  • a clinical log documenting 100 hours of supervised clinical practice and demonstrating the range of skills expected of an emergency clinical nurse specialist .
  • four evaluations of progress by the student's clinical supervisor. 
You are expected to attend all ten of the study days. 

Learning Resources

Your most important resource is a good anatomy text, specifically muscular-skeletal anatomy. 

Course Contacts

Course Coordinator: Lucien Cronin
 l.cronin@auckland.ac.nz or lucien.c@adhb.govt.nz

Course administrator: Morteza Khoskhoo
 m.khoshkhoo.ac.nz

Workload Expectations

This course is a standard 30 point course and students are expected to spend 15 hours per week involved in each 30 point course that they are enrolled in.

For this course, you can expect 60 hours of lectures, 140 hours of reading and thinking about the content and 100 hours of work on assignments and/or test preparation.

Other Information

Clinical hours will be completed in your own workplace; you can arrange to work alongside nurse specialists and nurse practitioners at one of the Auckland regional emergency departments. 

Digital Resources

Course materials are made available in a learning and collaboration tool called Canvas which also includes reading lists and lecture recordings (where available).

Please remember that the recording of any class on a personal device requires the permission of the instructor.

Academic Integrity

The University of Auckland will not tolerate cheating, or assisting others to cheat, and views cheating in coursework as a serious academic offence. The work that a student submits for grading must be the student's own work, reflecting their learning. Where work from other sources is used, it must be properly acknowledged and referenced. This requirement also applies to sources on the internet. A student's assessed work may be reviewed against online source material using computerised detection mechanisms.

Inclusive Learning

All students are asked to discuss any impairment related requirements privately, face to face and/or in written form with the course coordinator, lecturer or tutor.

Student Disability Services also provides support for students with a wide range of impairments, both visible and invisible, to succeed and excel at the University. For more information and contact details, please visit the Student Disability Services’ website at http://disability.auckland.ac.nz

Special Circumstances

If your ability to complete assessed coursework is affected by illness or other personal circumstances outside of your control, contact a member of teaching staff as soon as possible before the assessment is due.

If your personal circumstances significantly affect your performance, or preparation, for an exam or eligible written test, refer to the University’s aegrotat or compassionate consideration page: https://www.auckland.ac.nz/en/students/academic-information/exams-and-final-results/during-exams/aegrotat-and-compassionate-consideration.html.

This should be done as soon as possible and no later than seven days after the affected test or exam date.

Student Feedback

At the end of every semester students will be invited to give feedback on the course and teaching through a tool called SET or Qualtrics. The lecturers and course co-ordinators will consider all feedback and respond with summaries and actions.

Your feedback helps teachers to improve the course and its delivery for future students.

Class Representatives in each class can take feedback to the department and faculty staff-student consultative committees.

Student Charter and Responsibilities

The Student Charter assumes and acknowledges that students are active participants in the learning process and that they have responsibilities to the institution and the international community of scholars. The University expects that students will act at all times in a way that demonstrates respect for the rights of other students and staff so that the learning environment is both safe and productive. For further information visit Student Charter (https://www.auckland.ac.nz/en/students/forms-policies-and-guidelines/student-policies-and-guidelines/student-charter.html).

Disclaimer

Elements of this outline may be subject to change. The latest information about the course will be available for enrolled students in Canvas.

In this course you may be asked to submit your coursework assessments digitally. The University reserves the right to conduct scheduled tests and examinations for this course online or through the use of computers or other electronic devices. Where tests or examinations are conducted online remote invigilation arrangements may be used. The final decision on the completion mode for a test or examination, and remote invigilation arrangements where applicable, will be advised to students at least 10 days prior to the scheduled date of the assessment, or in the case of an examination when the examination timetable is published.

Published on 19/12/2019 08:57 a.m.